NPIMap

Organization Active NPI

Pacifica Recovery, Inc.

  • Adult Mental Health Clinic/Center
  • Claremont, CA
National Provider Identifier
1154479517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PACIFICA RECOVERY, INC.
Practice address
415 W Foothill Blvd
Ste 210
Claremont, CA 91711-2766
Phone
(626) 813-3771
Fax
(626) 813-3772
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April J Antoniou
Title
Credentialing Services Manager
Phone
(805) 413-1318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

415 W Foothill Blvd
Ste 210
Claremont, CA 91711-2766

Mailing address

3717 E Thousand Oaks Blvd
Westlake Village, CA 91362-3607
Phone (805) 413-1318

National Provider Directory

National Provider Directory
Tax ID family
Pacifica Recovery Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

415 W Foothill Blvd
Ste 210
Claremont, CA 91711
Phone (626) 813-3771

3717 E Thousand Oaks Blvd
Westlake Village, CA 91362
Phone (310) 701-1000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154479517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 E THOUSAND OAKS BLVD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623607",
            "telephone_number": "805-413-1318",
            "fax_number": "805-413-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W FOOTHILL BLVD",
            "address_2": "STE 210",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112766",
            "telephone_number": "626-813-3771",
            "fax_number": "626-813-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONIOU",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SERVICES MANAGER",
        "authorized_official_telephone_number": "805-413-1318"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.